Haley B Holm, PHD is a medicare enrolled "Psychologist - Clinical" provider in Alamo Heights, Texas. Her current practice location is
430 W Sunset Rd Ste 400, Alamo Heights, Texas. You can reach out to her office (for appointments etc.) via phone at
(844) 824-8775.
Haley B Holm is licensed to practice in Texas (license number 40212) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1801590781.
Healthcare Provider's Profile
| Full Name | Haley B Holm |
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| Gender | Female |
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| Speciality | Psychologist - Clinical |
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| Location | 430 W Sunset Rd Ste 400, Alamo Heights, Texas |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1801590781
- Provider Enumeration Date: 03/27/2023
- Last Update Date: 05/30/2024
Medicare PECOS Information:
- PECOS PAC ID: 4284095472
- Enrollment ID: I20230803004207
Medical Identifiers
Medical identifiers for Haley B Holm such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1801590781 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 103TC0700X | Psychologist - Clinical | 40212 (Texas) | Primary |
| 103G00000X | Clinical Neuropsychologist | 1813 (South Carolina) | Secondary |
| 103TC0700X | Psychologist - Clinical | 1813 (South Carolina) | Secondary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Haley B Holm allows following entities to bill medicare on her behalf.
| Entity Name | Charleston Counseling Center Pc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1316375678
PECOS PAC ID: 6204125107
Enrollment ID: O20160517000323 |
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Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Haley B Holm is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
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Haley B Holm, PHD
2000 Center Point Rd Ste 2350,
Columbia, SC 29210-5826
Ph: () - | Haley B Holm, PHD
430 W Sunset Rd Ste 400,
Alamo Heights, TX 78209-1772
Ph: (844) 824-8775 |
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